Fri.Jan 13, 2023

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HIMSSCast: 2023 forecast - 5G, AI command centers, hybrid work models and more

Healthcare It News

The recent IDC FutureScape: Worldwide Healthcare Industry 2023 Predictions report, offers some fascinating and provocative forecasts for what the next year – and years – might hold for care delivery and the technologies deployed to improve it. "Technological strategies and capabilities will determine how healthcare organizations navigate the aftereffects of the global COVID-19 pandemic combined with the impact of everything from inflationary pressures to supply chain constraints

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Large healthcare bankruptcies rose 84% in 2022, though hospitals mostly dodged the bullet

Fierce Healthcare

Large healthcare bankruptcies rose 84% in 2022, though hospitals mostly dodged the bullet. dmuoio. Fri, 01/13/2023 - 14:00.

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California files suit against PBMs over insulin prices

Health Care Dive

The state filed suit Thursday against pharmacy benefit managers CVS Caremark, Express Scripts and OptumRx, alleging they worked with drugmakers to drive up the price of insulin.

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JPM23's Health Tech Tidbits: Talkspace plots path to profitability, Veradigm invests in analytics company and Babylon CEO pushes back

Fierce Healthcare

JPM23's Health Tech Tidbits: Talkspace plots path to profitability, Veradigm invests in analytics company and Babylon CEO pushes back. hlandi. Fri, 01/13/2023 - 22:10.

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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UnitedHealth, flush off 2022 momentum, eyes membership, value-based growth

Health Care Dive

Looking forward, UnitedHealth expects growth of its membership rolls, an increase in fully capitated lives in Optum Health and an acceleration of Optum Insight’s integration with Change Healthcare.

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Following rapid expansion, Jefferson Health launches reorganization and, reportedly, layoffs

Fierce Healthcare

Following rapid expansion, Jefferson Health launches reorganization and, reportedly, layoffs. dmuoio. Fri, 01/13/2023 - 16:51.

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Optum expects to treat 4M in fully accountable, value-based models this year

Fierce Healthcare

Optum expects to treat 4M in fully accountable, value-based models this year. pminemyer. Fri, 01/13/2023 - 07:31.

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Grounded: The FAA Alert System Failure Could Be a Wake Up Call

The Rand Blog

It turned out to be a system failure that grounded thousands of flights on January 11, but U.S. critical infrastructure faces a range of threats—from Russian hackers, to weather events, to angry individuals with guns. The government and organizations responsible for critical infrastructure can take steps to actively manage these risks.

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KFF study details the challenges in addressing mental health in Medicaid

Fierce Healthcare

KFF study details the challenges in addressing mental health in Medicaid. fdiamond. Fri, 01/13/2023 - 08:25.

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5 Executive Healthcare Cybersecurity Predictions to Watch in 2023

HIT Consultant

Irfan Shakeel, VP of Training and Certification Services, OPSWAT. Cyberattacks on the healthcare industry will continue to increase: The healthcare industry is most vulnerable to cyberattacks, which makes it a lucrative target for cybercriminals; attacks on the healthcare industry have grown significantly in 2022, and attacks will even go further in 2023.

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5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

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California sues major PBMs, drugmakers over insulin prices

Fierce Healthcare

California sues major PBMs, drugmakers over insulin prices. pminemyer. Fri, 01/13/2023 - 14:42.

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Chest Pain When Lying Down

Healthcare Associates

NOTE: If you are having new or severe chest pain, chest pain that doesn’t go away, pain that spreads down your arms, difficulty breathing, or changes to your heart rhythm, call for emergency help right away. Those can be symptoms of a heart attack. Having chest pain for any reason is a cause for concern. There are a variety of serious health conditions that cause chest pain, and you should always talk to a doctor about new or worsening symptoms.

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HHS: Uninsured rates decline for younger Americans from 2019 through 2021

Fierce Healthcare

HHS: Uninsured rates decline for younger Americans from 2019 through 2021. rking. Fri, 01/13/2023 - 14:47.

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Inflation, Recession Fears Increase Tension Between Healthcare Patients and Providers

HIT Consultant

What You Should Know: – Weave (NYSE: WEAV), the all-in-one customer communication and engagement platform for small- and medium-sized businesses, today announced new research, the 2023 Healthcare Business Insights Report, which examines how inflation and recession fears are impacting small healthcare offices, the patient experience and the strength of patient-provider relationships. – The healthcare industry has become increasingly more competitive in the last five years.

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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'Podnosis': Fierce 15 honorees and how to prevent the disruption of cancer care in times of crisis

Fierce Healthcare

'Podnosis': Fierce 15 honorees and how to prevent the disruption of cancer care in times of crisis. tcarey. Fri, 01/13/2023 - 10:32.

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The Important Role of Community Pharmacy in 2023

HIT Consultant

Lindsay Dymowski, President — Centennial Pharmacy Services. The healthcare landscape continues to shift as we emerge from an uncertain and continuously-evolving pandemic. Technology is playing a vital role in giving people access to necessary services and, as a part of this technology shift, community pharmacies are stepping up in order to better serve the public.

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Paytient picks up $40M to put payment power in patients' pockets

Fierce Healthcare

Paytient picks up $40M to put payment power in patients' pockets. aburky. Fri, 01/13/2023 - 16:52.

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Exec Hires: UCM Digital Health Names Rondi Rabuse as President & COO

HIT Consultant

Rondi Rabuse, President & COO at UCM Digital Health. What You Should Know: – UCM Digital Health , a digital health and telehealth provider, including a 24/7 emergency medicine triage, treatment, and navigation service, announced Rondi Rabuse as its newest president and chief operations officer. – With over three decades of experience in the healthcare field, Rabuse will help drive and accelerate UCM’s strategic growth plans, further enhancing UCM’s mission to improve the patient

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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Modivcare CEO: Companies Leveraging Size, Community-Based Approaches Are ‘Winning’

Home Health Care

Modivcare Inc. (Nasdaq: MODV) believes it’s in a rare position to capitalize on growth opportunities moving forward. There are many reasons why its president and CEO, L. Heath Sampson, believes that. One of those reasons is the social determinants of health work that the company is doing. “We have 36 million members across the nation that are either in Medicaid or Medicare Advantage,” Sampson said during a presentation at the J.P.

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Transcarent Taps The Clinic by Cleveland Clinic to Offer Employees Expect Second Opinions

HIT Consultant

What You Should Know: – Transcarent , a health and care experience company that makes it easy to access high quality, affordable care, and aligns with the companies who pay for care, announced a new collaboration with The Clinic by Cleveland Clinic ( The Clinic ) that enables Transcarent Members and their families to access The Clinic’s expert second opinions. – Transcarent Members can easily leverage Cleveland Clinic’s world-renowned specialists for a personalized care evaluation an

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3 Tips for Coding Accuracy in 2023 — and 6 Benefits That Follow

Home Health Care

The medical record comes to the coder and OASIS reviewers, which contains a large amount of data. While that’s normal, it’s no less daunting. The home health coder receives multiple documents from different providers and settings, often in multiple formats, and with voluminous amounts of pages that must all be reviewed. To properly and fully obtain appropriate reimbursement, the care provider needs confidence that their coders can accurately review and find all of the necessary information aroun

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M&A: Alpine Investors Acquires RCM Services Provider Medusind

HIT Consultant

What You Should Know: – Alpine Investors , a people-driven private equity fund, announced that it has acquired Medusind , a provider of revenue cycle management services to the healthcare industry. – Jose Rivero, an Alpine CEO-in-Residence and part of the firm’s PeopleFirst program, has assumed the role of CEO of Medusind. Terms of the private transaction were not disclosed.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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UnitedHealth Group Views Home Health As ‘New Frontier’ Of Value-Based Care

Home Health Care

UnitedHealth Group’s (NYSE: UNH) deal for LHC Group Inc. (Nasdaq: LHCG) reportedly could still close in the first quarter. Each party has certified “substantial compliance” and no divestitures are expected, according to a Dealreporter item for last week , which cited sources familiar with the matter. As that deal does come to a close, the home health industry is on the brink of knowing how one of its largest representatives, LHC Group, will be utilized underneath the UnitedHealth Group and Optum

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Executives Shares 7 Life Sciences Predictions to Watch in 2023

HIT Consultant

Tracy Curley, CFO and interim CEO at iSpecimen. Focusing on the macroeconomic environment, which remains impacted by the lingering COVID-19 pandemic, there continues to be uncertainty about the strength of the global, Asia Pacific, UK and US economies. High-interest rates and a potential recession remain a concern for all market participants. At ISPC, we are closely monitoring the pace of specimen transactions.

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Whether Decreased Home Health Utilization Is Helping Or Hurting The Health System

Home Health Care

This article is a part of your HHCN+ Membership. Following the U.S. Centers for Medicare & Medicaid Services’ (CMS) implementation of the Patient-Driven Groupings Model (PDGM), the total number of home health visits per 30-day period fell by nearly 17%. That’s according to CMS data. . Sign up for HHCN + to read this exclusive content. Individual Membership $400 per year.

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iQIES Materials Updated 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted updated iQIES materials: iQIES Reports User Manual … Version 2.1 … January 11, 2023. S&C Job Aid – Roles Matrix Job Aid … Version 3.1 … January 9, 2023. No word yet from CMS as to the implementation date for transition to iQIES for LTCFs.

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Submit Your Ideas for #NASHPCONF23!

NASHP

We’re gearing up for our 36th annual conference , which will be held in Boston, Massachusetts from August 14-16, 2023 — and we need your ideas! Our annual conference is planned by NASHP’s Academy Members , who ensure that the agenda consistently provides information, tools, and resources, on the issues most important to the state health policy community year after year, including access to the nation’s leading experts.

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Abuse and Neglect: CMS Should Strengthen Reporting Requirements to Better Protect Individuals Receiving Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. “GAO’s review of Centers for Medicare & Medicaid Services (CMS) requirements for reporting and responding to abuse and neglect allegations found two gaps in the requirements for hospices, compared with requirements for extended care provided in hospitals and nursing homes. Hospices, which can provide care in a patient’s home or other settings, are required to report allegations to the state agencies responsible for monito

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How State COVID-19 Case Investigation and Contact Tracing Programs Supported Individuals during Quarantine and Isolation 

NASHP

Public health has learned to be nimble when it comes to employing case investigation and contact tracing (CI/CT) to mitigate the spread of the SARS-CoV-2 virus that causes COVID-19. CI/CT has been used to reduce the spread of highly infectious diseases in the U.S. for more than 200 years. Recent outbreaks of measles, mumps, hepatitis A, and other diseases have been successfully contained through this practice of contacting individuals who are ill or exposed to ill individuals, obtaining informat

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Reflections on BIOHK2022: Asia Biotech Market and the 2023 Outlook

Health Advances

By Susie Jin, Andrew Li, and Gary Cheng. In December, BIOHK2022, the hallmark event of the year for biotech industries in the Greater Bay Area, attracted more than 10,000 industry leaders and practitioners to meet in person and discuss the future of healthcare. Among the spectrum of hot topics discussed, a few key takeaways emerged from the keynote speeches and plenary sessions.

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

Speaker: Matt McBride, CEO and Co-Founder of Mend

Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.